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Urbanisation and adolescent risk behaviour.

A J Flisher¹, D O Chalton

¹Department of Psychiatry and Mental Health, University of Cape Town.

South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde

|April 9, 2001

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Urban living is linked to increased adolescent risk behaviors like substance use and violence. Further research is needed to understand these associations and inform prevention strategies.

Area of Science:

Public Health
Adolescent Health
Sociology

Background:

Urbanization is a growing global phenomenon.
Understanding its impact on adolescent risk behaviors is crucial for public health.
Previous research has explored various factors influencing adolescent risk behaviors.

Purpose of the Study:

To examine the association between duration of urban living and adolescent risk behaviors.
To identify specific risk behaviors linked to urbanization in South African youth.

Main Methods:

Cross-sectional survey design.
Anonymous, confidential questionnaires administered to students.
Multistage cluster sampling of 1,296 students from four high schools in the Cape Peninsula, South Africa.

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Main Results:

Urbanization showed a significant association with increased use of alcohol, cannabis, and cannabis mixed with Mandrax.
Victimization and perpetration of violence, along with suicidality, were also linked to urbanization.
No association was found between urbanization and sexual intercourse or solvent sniffing.

Conclusions:

Urban living is associated with higher rates of certain adolescent risk behaviors.
Further research should identify characteristics of risk behaviors and aspects of urbanization contributing to these increases.
Findings can inform mental health promotion and intervention strategies for urban adolescents.